Authority: IC 12-15-1-10

Affected: IC 12-15-4; IC 12-15-5

Sec. 1. The following definitions apply throughout this rule:

1. (1) "Ambulatory prenatal care services" means outpatient services related to pregnancy, including prenatal services and services related to other conditions that may complicate the pregnancy.

2. (2) "Division" means:

   1. (A) the office of the Indiana family and social services administration;
   2. or
   3. (B) an office that is operated by a contractor of the office to accept Medicaid applications.

3. (3) "Qualified provider" means a provider who:

   1. (A) is enrolled in the Indiana Medicaid program;
   2. (B) maintains a valid agreement, as prescribed by the office, to make determinations regarding presumptive eligibility; and
   3. (C) meets all other requirements set forth in 42 U.S.C. 1396r-1(b)(2).
4. (4) "Verifiable pregnancy" means a pregnancy that has been verified by a medical provider, such as a positive pregnancy test performed by a licensed practitioner or a staff person employed by a qualified provider. Results of self-administered, over-the-counter testing devices, such as home pregnancy tests, cannot be used to verify a pregnancy for purposes of this rule.

(Office of the Secretary of Family and Social Services; 405 IAC 2-3.2-1; filed Mar 19, 2010, 11:15 a.m.: 20100414-IR-405090262FRA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA; readopted filed Nov 13, 2019, 11:54 a.m.: 20191211-IR-405190487RFA; filed Jun 11, 2021, 2:35 p.m.: 20210707-IR-405190602FRA; readopted filed Oct 8, 2025, 3:16 p.m.: 20251105-IR-405240502RFA)